W81K0026QA194.pdf
PDF 3 MB Posted
- Attached to
- FDA approved F-18 Fludeoxyglucose unit doses
- Solicitation number
- W81K0026QA194
- Issued by
-
Department of the Army Medical Command
About this file
This is a Solicitation/Contract/Order for Commercial Products and Commercial Services (Standard Form 1449, Revision 11/2021) issued by the Dwight David Eisenhower Army Medical Center (DDEAMC), Fort Gordon, Georgia for the supply of FDA-approved F-18 Fludeoxyglucose (FDG) unit dose radiopharmaceuticals.
The contract involves supplying approximately 450 unit doses of 10-15 millicurie (mCi) F-18 FDG per year, calibrated for date of delivery, with pricing structures for additional mCi dosages exceeding 15 mCi, routine delivery charges, and STAT delivery charges. The base period runs from July 6, 2026 to July 5, 2027, with four one-year option periods extending through July 5, 2031. Delivery must occur to the Nuclear Medicine Department at BLDG 300, East Hospital Road, Fort Gordon, GA 30905, with the contractor bearing transportation costs (FOB Destination). The Government will provide 48 hours advance notice of dose calibration time, and the contractor must deliver no less than 30 minutes prior to calibration. The contract is set aside for Women-Owned Small Businesses (WOSB) and includes North American Industry Classification System (NAICS) code 325412. The solicitation number is W81K0026QA194, with an offer due date of June 5, 2026 at 2:00 PM Central Daylight Time. Quotes must be submitted via email to Wayne Shavers (wayne.shavers.civ@health.mil) and must include CAGE Code, Unique Entity Identification, proof of FDA certification, completed Request for Quote, and a description of services outlining SOW compliance. The contractor must be FDA-approved, maintain a Quality Control Plan, provide MSDS documentation, comply with security requirements including AT Level 1 awareness training and iWATCH briefings within 30 days of award, and maintain badge credentials at all times on site. Payment will be processed through Wide Area WorkFlow (WAWF) using DoDAAC codes HQ0490 (Pay Official), W81K00 (Issue By/Admin), and HT9406 (Inspect By).
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Text version
WOMEN-OWNED SMALL
BUSINESS (WOSB)
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES
1. REQUISITION NUMBER PAGE 1 OF
2. CONTRACT NUMBER 3. AWARD/EFFECTIVE
DATE
4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE
DATE
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME b. TELEPHONE NUMBER (No collect 8. OFFER DUE DATE/
LOCAL TIME
9. ISSUED BY
13b. RATING
14. METHOD OF SOLICITATION
CODE
15. DELIVER TO 16. ADMINISTERED BY CODE
18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/
OFFEROR
CODE
FACILITY
CODE
CODE
TELEPHONE NUMBER
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN
OFFER
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK
BELOW IS CHECKED
REQUEST
FOR QUOTE
(RFQ)
INVITATION
FOR BID
(IFB)
REQUEST
FOR
PROPOSAL
(RFP)
SEE ADDENDUM
19.
ITEM NUMBER
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
(Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Government Use Only)
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH
AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND
ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS
SPECIFIED
29. AWARD OF CONTRACT: REFERENCE OFFER
DATED . . YOUR OFFER ON SOLICITATION
(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE
SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:
30a. SIGNATURE OF OFFEROR/CONTRACTOR
30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED
31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)
31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
STANDARD FORM 1449 (REV. 11/2021)
Prescribed by GSA - FAR (48 CFR) 53.212
10. THIS ACQUISITION IS UNRESTRICTED OR
NORTH AMERICAN
INDUSTRY CLASSIFICATION
STANDARD (NAICS):
SIZE STANDARD:
13a. THIS CONTRACT IS A
RATED ORDER UNDER
THE DEFENSE PRIORITIES
AND ALLOCATIONS
SYSTEM - DPAS (15 CFR 700)
SET ASIDE: % FOR:
11. DELIVERY FOR FREE ON
BOARD (FOB) DESTINATION
UNLESS BLOCK IS MARKED
SEE SCHEDULE
12. DISCOUNT TERMS
ARE ARE NOT ATTACHED
ARE ARE NOT ATTACHED
27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3
AND 52.212-5 ARE ATTACHED. ADDENDA
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA
8(A)
ECONOMICALLY
DISADVANTAGED
WOMEN-OWNED SMALL
BUSINESS (EDWOSB)
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
(SDVOSB)
HUBZONE SMALL
BUSINESS
SMALL BUSINESS
NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.
calls)
Solicitation/Contract Form Continuation
FDA approved F-18 FDG unit dose radiopharmaceuticalsInstrument Name:
Product Service Code : 6515
STATEMENT OF WORK
F-18 FLUDEOXYGLUCOSE UNIT DOSES RADIOLOGY DEPARTMENT
DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER FORT GORDON, GEORGIA 30905
1. GENERAL:
1.1 SCOPE OF WORK: This is a supply contract to provide Dwight David Eisenhower Army Medical Center (DDEAMC) Department of Radiology (Nuclear
Medicine) FDA approved F-18 Fludeoxyglucose (FDG) unit dose radiopharmaceuticals. The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform preparation and delivery of an estimated four hundred and fifty (450) FDA approved F-18 FDG unit dose radiopharmaceuticals as defined in this Statement of Work except for those items specified as Government furnished property and services. The Contractor shall be an FDA approved radioisotope provider. The Contractor shall provide 10 -
15 mCi F-18 FDG at time of calibration. The Contractor shall deliver directly to DDEAMC Nuclear Medicine Department no less than 30 minutes prior to calibration time. The Government will notify the Contractor 12 hours in advance of the dose calibration time. The Contractor shall perform in accordance with the standards in the contract.
1.2 BACKGROUND INFORMATION:
The Department of Radiology (Nuclear Medicine) at DDEAMC requires 10-15mCi unit doses of FDA approved F-18 FDG for PET imaging. PET imaging is used for diagnostics, staging, and therapy effectiveness for cancer patients as well as other pathologies. Without this radiopharmaceutical, we would have to refer all of these patients to other facilities for PET imaging, delaying their care as well as incurring additional expenses for DDEAMC.
1.3 PERSONNEL: N/A
1.4 PHYSICAL SECURITY:
Contractor personnel shall wear a Contractor identification badge at all times when performing services at the Government site.
1.5 QUALITY CONTROL:
1.5.1 The Contractor shall establish and maintain a Quality Control Plan to ensure that the quality of supply and material provided meet or exceed the specifications, terms and conditions of the contract. The Contractors' written plan within thirty days (30) to the Contracting Officer, which describes how it shall ensure the performance of the terms and conditions outlined in the Statement of Work required by the contract are met or exceeded.
1.5.2 The plan shall describe the methods for identifying and preventing defects before the level of performance becomes unacceptable.
W81K0026QA194
1.6 CONTINGENCY PLANS: The Contractor shall furnish with his proposal a written Contingency Plan indicating alternative provisions shall the Contractor be unable to meet contract requirements.
1.6.1 DISASTER: In the event of a disaster, to include but not limited to destruction of the facility, sabotage, or act of God or nature, that renders the
Contractor's facility unsafe, the Contractor shall determine feasible alternative methods of providing services and make recommendations to the Contracting
Officer immediately, as directed by Contracting Officer. The Government reserves the right to obtain the services from other sources in the absence of such action.
1.7 HOUR OF OPERATION:
1.7.1 The Contractor is responsible for conducting business between the hours of 07:00 am to 15:30 pm Eastern Standard Time (EST) Monday through Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings.
1.7.2 The facility also observes various training holidays. Observed training may change. Please refer to the Government point of contact for information or guidance. During Federal and training holidays there may be a reduced workforce.
1.8. PERIOD OF PERFORMANCE: The period of performance is one (1) base year and four (4) option years at contract award.
1.9. PLACE OF PERFORMANCE: Dwight D. Eisenhower Army Medical Center, Department of Nuclear Medicine, Fort Gordon, GA 30905.
1.10 CONTRACTOR AUTHORIZE REPRESENTATIVE: The Contractor shall provide in writing on the contract start date, the name and telephone number of a primary and alternate individual to act as their representative to be responsible for the coordination of the contract with the government. The Contractor's designated representative shall be the point of contact with the government and shall have the authority to act or make decisions for the contractor on all matters pertaining to the contract. The Contracting Officer's Representative or Alternate Contracting Officer's Representative shall be notified in writing within
72 hours, whenever changes are made.
2. STANDARD DEFINITIONS:
2.1. F-18 Fluoro-2-Deoxyglucose (F-18 FDG) Positron Emission Tomography
2.2. Contracting Officer Representative (COR): An individual designated by the contracting officer to act as his representative to assist in the administering a contract. The source and authority for a COR are contained in the written letter of designation.
2.3. Defective Performance: A product output that does not meet the standard of performance associated within the Statement of Work.
2.4. Government Property: All property owned or leased to the Government or acquired by the Government under the terms of the contract. Government property includes both Government furnished property and Contractor acquired property as defined in the Federal Acquisition Regulation (FAR) 45.101.
2.5. Material Safety Data Sheet (MSDS): A document that contains information on the potential health effects of exposure to chemicals, or other potentially dangerous substances, and on safe working procedures when handling chemical products.
2.6. Quality Assurance (QA): Those actions taken by the Government to assure services meet the requirements of the Statement of Work (SOW) and all other service outputs.
3. GOVERNMENT FURNISHED PROPERTY AND SERVICES:
3.1 N/A
4. CONTRACTOR FURNISHED ITEMS AND SERVICES:
4.1 The Contractor shall furnish all supplies, equipment, and services required for performance of this contract.
5. SPECIFIC TASKS:
5.1 The Contractor shall prepare and deliver an estimated four hundred and fifty of 10 - 15 mCi F-18 FDG individual unit doses to the Department of Nuclear
Medicine upon the Nuclear Department's request.
5.2 The Contractor shall provide FDA approved radiopharmaceuticals.
5.3 The Contractor shall complete delivery a minimum of 30 minutes prior to dose calibration time. No deviations. The Government will notify the Contractor
48 hours in advance of the dose calibration time.
5.4 DELIVERY INSTRUCTIONS: The Contractor shall complete timely delivery to the Nuclear Medicine Service no later than thirty minutes prior to calibration.
Park at hospital and delivery package and Nuclear Medicine employee will allow access. The Contractor shall drop and pick up per the Nuclear Department's request.
5.5 Quality Assurance Specifications and Requirements. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance.
5.5.1 All F-18 FDG supplies shall be FDA approved.
5.5.2 All F-18 FDG supplies delivered under the contract shall be delivered in accordance with FDA transport regulations for F-18 FDG.
5.5.3 The Contractor's paperwork (e.g. shipping order) accompanying each delivery shall give the total amount of F-18 FDG delivered. The Contractor shall also state the amount of FDG delivered at each visit. The certificate shall include, at a minimum:
a. Supplier's Name and complete address
b. Name of product (i.e. FDG U.S.P)
c. Lot number or other unique identification number
d. Signature of authorized supplier representative and date.
5.6 Contractor shall provide all applicable Material Safety Data Sheets (MSDS) upon initial delivery or as revisions, updates, or amendments become available, applicable materials, components/supplies utilized in the production/fabrication of end item/product being delivered requiring a MSDS.
5.7 A copy of all inspection reports shall be provided to the facility COR upon the completion of any Contractor owned or Government owned bulk FDG system that are required by regulation.
5.8 The Government shall access any Contractor online ordering systems to place orders.
5.9 The Government's has the optional method for placing orders via telephone to the Pharmacist point of contact.
5.10 The Contractor shall provide a Pharmacist point of contact (e.g., name, e-mail address and telephone number).
6 SECURITY REQUIREMENTS:
6.1 All Contractor employees performing work on site shall report to the Security office and obtain vendor credentials for the duration of the work.
Contractor employees shall wear their badge credentials at all times while on site.
6.2 The Contractor and all associated subcontractors' employees shall comply with applicable installation, facility, and area commander installation and facility access and local security policies and procedures (provided by the Government representative). The Contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by the installation Provost Marshal Office, Director of Emergency Services, or
Security Office. The Contractor workforce must comply with all personal identity verification requirements as directed by DoD, HQDA, and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in Contractor security matters or processes.
6.3 The Contractor shall brief all employees on the local iWATCH program (training standards provided by the requiring activity ATO). This training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 30 calendar days of contract award and within 15 calendar days of new contract employees' commencing performance, with the results reported to the COR no later than 45 calendar days after contract award.
6.4. All Contractor employees with access to a Government information system must be registered in the ATCTS (Army Training Certification Tracking
System) at commencement of services and must successfully complete the
DoD Information Assurance Awareness training prior to access to the information system and then annually thereafter
6.5. AT level 1 (general) all Contractor employees requiring access to Army installations, facilities, or controlled access areas shall complete AT Level I awareness training within 30 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever applies.
The Contractor shall submit certificates of completion for each affected Contractor employee to the COR (or to the contracting officer, if a COR is not assigned) within 15 calendar days after completion of training by all employees and subcontractor personnel.
6.6. All Contractor personnel performing work under this contract shall maintain the level of security required for the life of the contract.
7. CONTRACTOR PERFORMANCE:
Contractor shall not be reimbursed for supplies/deliveries that do not meet the terms and conditions as outlined in the contract (e.g., late deliveries, no shows or defective product, employees unable to gain access to Fort Gordon, etc.). The Government may issue deficiency report(s), cure notices and termination notice.
8. APPLICABLE PUBLICATION AND FORMS:
8.1. N/A
*** END OF NARRATIVE ***
Continuation of Supplies or Services and Prices/Costs
Additional Information/Notes
Item Supplies/Service Quantity Unit Unit Price
Amount
0001 Product Service Description: 18 F FDG 1- 15 Milliecurries (mCi) per dose Base.
DOSES CALIBRATED FOR DATE OF
DELIVERY AS REQUESTED.
Manufacturer's Part Number: 18F FDG 1- 15 mCi per dose Product Service Code: 6515 North American Industry Classification System (NAICS): 325412 Pricing Arrangement: Firm Fixed Price
450 Each
0002 Product Service Description: FDG Charge per Milliecurries (mCi) doses >15 mCi Base. DOSES CALIBRATED FOR
DATE OF DELIVERY AS REQUESTED.
Manufacturer's Part Number: mCi doses >15 mCi Base Product Service Code: 6515 North American Industry Classification System (NAICS): 325412 Pricing Arrangement: Firm Fixed Price
10 Each
0003 Product Service Description: Routine Delivery - Price Per Base Manufacturer's Part Number: Price Per Base Product Service Code: 6515 North American Industry Classification System (NAICS): 325412 Pricing Arrangement: Firm Fixed Price
50 Each
0004 Product Service Description: STAT Delivery Base
1 Each
Manufacturer's Part Number: STAT Delivery Base Product Service Code: 6515 North American Industry Classification System (NAICS): 325412 Pricing Arrangement: Firm Fixed Price
Option Line Item
Product Service Description: 18F FDG 1- 15 Milliecurries (mCi) per dose. DOSES
CALIBRATED FOR DATE OF
DELIVERY AS REQUESTED.
Manufacturer's Part Number: 18F FDG 1- 15 mCi per dose Product Service Code: 6515 North American Industry Classification System (NAICS): 325412 Pricing Arrangement: Firm Fixed Price
450 Each
Option Line Item
Product Service Description: FDG Charge per Milliecurries (mCi) doses >15 mCi. DOSES CALIBRATED FOR DATE
OF DELIVERY AS REQUESTED.
Manufacturer's Part Number: mCi doses >15 mCi Product Service Code: 6515 North American Industry Classification System (NAICS): 325412 Pricing Arrangement: Firm Fixed Price
10 Each
Option Line Item
Product Service Description: Routine Delivery - Price Per Manufacturer's Part Number: Routine Delivery Product Service Code: 6515 North American Industry Classification System (NAICS): 325412 Pricing Arrangement: Firm Fixed Price
50 Each
Option 1 Each
Line Item
Product Service Description: STAT Delivery.
Manufacturer's Part Number: STAT Delivery Product Service Code: 6515 North American Industry Classification System (NAICS): 325412 Pricing Arrangement: Firm Fixed Price
Option Line Item
Product Service Description: 18F FDG 1- 15 Milliecurries (mCi) per dose. DOSES
CALIBRATED FOR DATE OF
DELIVERY AS REQUESTED.
Manufacturer's Part Number: 18F FDG 1- 15 mCi per dose Product Service Code: 6515 North American Industry Classification System (NAICS): 325412 Pricing Arrangement: Firm Fixed Price
450 Each
Option Line Item
Product Service Description: FDG Charge per Milliecurries (mCi) doses >15 mCi. DOSES CALIBRATED FOR DATE
OF DELIVERY AS REQUESTED.
Manufacturer's Part Number: mCi doses >15 mCi Product Service Code: 6515 North American Industry Classification System (NAICS): 325412 Pricing Arrangement: Firm Fixed Price
10 Each
Option Line Item
Product Service Description: Routine Delivery - Price Per Manufacturer's Part Number: Routine Delivery Product Service Code: 6515 North American Industry Classification System (NAICS): 325412 Pricing Arrangement: Firm Fixed Price
50 Each
Option
Item
Product Service Description: STAT Delivery Manufacturer's Part Number: STAT Delivery Product Service Code: 6515 North American Industry Classification System (NAICS): 325412 Pricing Arrangement: Firm Fixed Price
1 Each
Option Line Item
Product Service Description: 18F FDG 1- 15 Milliecurries (mCi) per dose DOSES
CALIBRATED FOR DATE OF
DELIVERY AS REQUESTED.
Manufacturer's Part Number: 18F FDG 1- 15 mCi per dose Product Service Code: 6515 North American Industry Classification System (NAICS): 325412 Pricing Arrangement: Firm Fixed Price
450 Each
Option Line Item
Product Service Description: FDG Charge per Milliecurries (mCi) doses >15 mCi. DOSES CALIBRATED FOR DATE
OF DELIVERY AS REQUESTED.
Manufacturer's Part Number: mCi doses >15 mCi Product Service Code: 6515 North American Industry Classification System (NAICS): 325412 Pricing Arrangement: Firm Fixed Price
10 Each
Option Line Item
Product Service Description: Routine Delivery Manufacturer's Part Number: Routine Delivery Product Service Code: 6515 North American Industry Classification System (NAICS): 325412 Pricing Arrangement: Firm Fixed Price
50 Each
Item
Product Service Description: STAT Delivery Manufacturer's Part Number: STAT Delivery Product Service Code: 6515 North American Industry Classification System (NAICS): 325412 Pricing Arrangement: Firm Fixed Price
1 Each
Option Line Item
Product Service Description: 18F FDG 1- 15 Milliecurries (mCi) per dose DOSES
CALIBRATED FOR DATE OF
DELIVERY AS REQUESTED.
Manufacturer's Part Number: 18F FDG 1- 15 mCi per dose Product Service Code: 6515 North American Industry Classification System (NAICS): 325412 Pricing Arrangement: Firm Fixed Price
450 Each
Option Line Item
Product Service Description: FDG Charge per Milliecurries (mCi) doses >15 mCi DOSES CALIBRATED FOR DATE
OF DELIVERY AS REQUESTED.
Manufacturer's Part Number: mCi doses >15 mCi Product Service Code: 6515 North American Industry Classification System (NAICS): 325412 Pricing Arrangement: Firm Fixed Price
10 Each
Option Line Item
Product Service Description: Routine Delivery Manufacturer's Part Number: Routine Delivery Product Service Code: 6515 North American Industry Classification System (NAICS): 325412 Pricing Arrangement: Firm Fixed Price
50 Each
Item
Product Service Description: STAT Delivery Manufacturer's Part Number: STAT Delivery Product Service Code: 6515 North American Industry Classification System (NAICS): 541330 Pricing Arrangement: Firm Fixed Price
1 Each
Continuation of Description
Requirements The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform preparation and delivery of an estimated four hundred and fifty (450) FDA approved F-18 FDG unit dose radiopharmaceuticals as defined in this Statement of Work except for those items specified as Government furnished property and services.
Continuation of Deliveries or Performance
0001 Delivery Schedule Delivery Period From 06 Jul 2026 to 05 Jul 2027
450 EachQuantity
Address and POC Ship To DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
Special Handling/Notes FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
0002 Delivery Schedule Delivery Period From 06 Jul 2026 to 05 Jul 2027
10 EachQuantity
Address and POC Ship To DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
Special Handling/Notes FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
0003 Delivery Schedule Delivery Period From 06 Jul 2026 to 05 Jul 2027
50 EachQuantity
Address and POC Ship To DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
Special Handling/Notes FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
0004 Delivery Schedule Delivery Period From 06 Jul 2026 to 05 Jul 2027
1 EachQuantity
Address and POC Ship To DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
Special Handling/Notes FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
Option Line Item
Delivery Schedule Delivery Period From 06 Jul 2027 to 05 Jul 2028
450 EachQuantity
Address and POC Ship To DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
Special Handling/Notes FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
Option Line Item
Delivery Schedule Delivery Period From 06 Jul 2027 to 05 Jul 2028
10 EachQuantity
Address and POC Ship To DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
Option Line Item
Delivery Schedule Delivery Period From 06 Jul 2027 to 05 Jul 2028
50 EachQuantity
Address and POC Ship To DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
Special Handling/Notes FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
Option Line Item
Delivery Schedule Delivery Period From 06 Jul 2027 to 05 Jul 2028
1 EachQuantity
Address and POC Ship To
DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
Special Handling/Notes FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
Option Line Item
Delivery Schedule Delivery Period From 06 Jul 2028 to 05 Jul 2029
450 EachQuantity
Address and POC Ship To DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
Special Handling/Notes FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
Option Line Item
Delivery Schedule Delivery Period From 06 Jul 2028 to 05 Jul 2029
10 EachQuantity
Address and POC Ship To DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
Special Handling/Notes FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
Option Line Item
Delivery Schedule Delivery Period From 06 Jul 2028 to 05 Jul 2029
50 EachQuantity
Address and POC Ship To DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
Special Handling/Notes FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
Option Delivery Schedule
Item
Delivery Period From 06 Jul 2028 to 05 Jul 2029
1 EachQuantity
Address and POC Ship To DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
Special Handling/Notes FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
Option Line Item
Delivery Schedule Delivery Period From 06 Jul 2029 to 05 Jul 2030
450 EachQuantity
Address and POC Ship To DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
Special Handling/Notes FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
Item
Delivery Schedule Delivery Period From 06 Jul 2029 to 05 Jul 2030
10 EachQuantity
Address and POC Ship To DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
Special Handling/Notes FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
Option Line Item
Delivery Schedule Delivery Period From 06 Jul 2029 to 05 Jul 2030
50 EachQuantity
Address and POC Ship To DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
Special Handling/Notes FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
Option Line Item
Delivery Schedule Delivery Period From 06 Jul 2029 to 05 Jul 2030
1 EachQuantity
Address and POC Ship To DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
Special Handling/Notes FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
Option Line Item
Delivery Schedule Delivery Period From 06 Jul 2030 to 05 Jul 2031
450 EachQuantity
Address and POC Ship To DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
Option Line Item
Delivery Schedule Delivery Period From 06 Jul 2030 to 05 Jul 2031
10 EachQuantity
Address and POC Ship To DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
Special Handling/Notes FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
Option Line Item
Delivery Schedule Delivery Period From 06 Jul 2030 to 05 Jul 2031
50 EachQuantity
Address and POC Ship To DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
Option Line Item
Delivery Schedule Delivery Period From 06 Jul 2030 to 05 Jul 2031
1 EachQuantity
Address and POC Ship To DoDAAC: HT0862 CountryCode: USA
AMC GORDON - PB
BLDG 300, EAST HOSPITAL ROAD FORT GORDON, GA 30905 UNITED STATES
Special Handling/Notes FoB Details
Party to Pay Transportation Cost: Contractor
Point Type: Destination
Contract Clauses
FAR Clauses Incorporated by Reference
Number Title Effective Date
Alternate Deviation
Variation Effective Date
52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements.
2017-01
52.204-13 System for Award Management- Maintenance. (Deviation 2026- O0038)
2026-02
52.209-6 Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, Proposed for Debarment, or Voluntarily Excluded. (Deviation 2026- O0038)
2026-02
52.212-4 Terms and Conditions- Commercial Products and Commercial Services. (Deviation 2026-O0038)
2026-02
52.219-6 Notice of Total Small Business Set-Aside. (Deviation 2026- O0038)
2026-02
52.222-19 Child Labor-Cooperation with Authorities and Remedies.
(Deviation 2026-O0038)
2026-03
52.222-35 Equal Opportunity for Veterans.
(Deviation 2026-O0038)
2026-02
52.222-36 Equal Opportunity for Workers with Disabilities. (Deviation 2026- O0038)
2026-02
52.222-37 Employment Reports on Veterans. (Deviation 2026- O0038)
2026-02
52.222-50 Combating Trafficking in Persons. (Deviation 2026-O0038)
2026-02
52.222-90 Addressing DEI Discrimination by Federal Contractors.
(Deviation 2026-O0040, Revision 1)
2026-04
52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving.
2024-05
52.232-33 Payment by Electronic Funds Transfer-System for Award Management.
2018-10
52.232-40 Providing Accelerated Payments to Small Business Subcontractors.
2023-03
52.233-3 Protest after Award. (Deviation 2026-O0038)
2026-02
52.233-4 Applicable Law for Breach of Contract Claim. (Deviation 2026- O0038)
2026-02
DFARS Clauses Incorporated by Reference
Number Title Effective Alternate Variation
Date Deviation Effective Date
252.203-7000 Requirements Relating to Compensation of Former DoD Officials.
2011-09
252.203-7002 Requirement to Inform Employees of Whistleblower Rights.
2022-12
252.204-7018 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services.
2023-01
252.223-7008 Prohibition of Hexavalent Chromium.
2023-01
252.225-7001 Buy American and Balance of Payments Program.
2024-02
252.225-7012 Preference for Certain Domestic Commodities.
2022-04
252.225-7056 Prohibition Regarding Business Operations with the Maduro Regime.
2023-01
252.225-7060 Prohibition on Certain Procurements from the Xinjiang Uyghur Autonomous Region.
2023-06
252.232-7003 Electronic Submission of Payment Requests and Receiving Reports.
2018-12
252.232-7010 Levies on Contract Payments. 2006-12
252.247-7023 Transportation of Supplies by 2024-10
Sea.
DFARS Clauses Incorporated by Full Text
Number Title Effective Date
Alternate Deviation
Variation Effective Date
252.232-7006 Wide Area WorkFlow Payment Instructions.
2023-01
WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JAN 2023)
(a) As used in this clause- Definitions.
"Department of Defense Activity Address Code (DoDAAC)" is a six position code that uniquely identifies a unit, activity, or organization.
"Document type" means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).
"Local processing office (LPO)" is the office responsible for payment certification when payment certification is done external to the entitlement system.
"Payment request" and "receiving report" are defined in the clause at 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.
(b) The WAWF system provides the method to electronically process Electronic invoicing.
vendor payment requests and receiving reports, as authorized by Defense Federal Acquisition Regulation Supplement (DFARS) 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.
(c) To access WAWF, the Contractor shall- WAWF access.
(1) Have a designated electronic business point of contact in the System for Award Management at https://www.sam.gov; and
(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.
(d) The Contractor should follow the training instructions of the WAWF WAWF training.
Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the "Web Based Training" link on the WAWF home page at https://wawf.eb.mil/
(e) Document submissions may be via web WAWF methods of document submission.
entry, Electronic Data Interchange, or File Transfer Protocol.
(f) The Contractor shall use the following information when WAWF payment instructions.
submitting payment requests and receiving reports in WAWF for this contract or task or delivery order:
(1) The Contractor shall submit payment requests using the following Document type.
document type(s):
(i) For cost-type line items, including labor-hour or time-and-materials, submit a cost voucher.
(ii) For fixed price line items-
(A) That require shipment of a deliverable, submit the invoice and receiving report specified by the Contracting Officer.
Combo
(Contracting Officer: Insert applicable invoice and receiving report document type(s) for fixed price line items that require shipment of a deliverable.)
(B) For services that do not require shipment of a deliverable, submit either the Invoice 2in1, which meets the requirements for the invoice and receiving report, or the applicable invoice and receiving report, as specified by the Contracting Officer.
(Contracting Officer: Insert either "Invoice 2in1" or the applicable invoice and receiving report document type(s) for fixed price line items for services.)
(iii) For customary progress payments based on costs incurred, submit a progress payment request.
(iv) For performance based payments, submit a performance based payment request.
(v) For commercial financing, submit a commercial financing request.
(2) ) Fast Pay requests are only permitted when Federal Acquisition Regulation (FAR) 52.213-1 is included in the contract.
[Note: The Contractor may use a WAWF "combo" document type to create some combinations of invoice and receiving report in one step.]
(3) The Contractor shall use the information in the Routing Data Document routing.
Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.
Routing Data Table*
Field Name in WAWF Data to be entered in WAWF
Pay Official DoDAAC
HQ0490
Issue By DoDAAC W81K00
Admin DoDAAC W81K00
Inspect By DoDAAC
HT9406
Ship To Code N/A
Ship From Code N/A
Mark For Code N/A
Service Approver (DoDAAC) N/A
Service Acceptor (DoDAAC) N/A
Accept at Other DoDAAC N/A
LPO DoDAAC N/A
DCAA Auditor DoDAAC N/A
Other DoDAAC(s) N/A
(*Contracting Officer: Insert applicable DoDAAC information. If multiple ship to/acceptance locations apply, insert "See Schedule" or "Not applicable.")
(**Contracting Officer: If the contract provides for progress payments or performance-based payments, insert the DoDAAC for the contract administration office assigned the functions under FAR 42.302(a)(13).)
(4) The Contractor shall ensure a payment request includes Payment request.
documentation appropriate to the type of payment request in accordance with the payment clause, contract financing clause, or Federal Acquisition Regulation 52.216-7, Allowable Cost and Payment, as applicable.
(5) The Contractor shall ensure a receiving report meets the Receiving report.
requirements of DFARS Appendix F.
(g) WAWF point of contact.
(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity's WAWF point of contact.
Tillman A. Wilson, tillman.a.wilson.civ@health.mil
(Contracting Officer: Insert applicable information or "Not applicable.")
(2) Contact the WAWF helpdesk at 866-618-5988, if assistance is needed.
(End of clause)
Addendum to Contract Clauses
FAR Clauses Incorporated by Reference
Number Title Effective Date
Alternate Deviation
Variation Effective Date
52.209-10 Prohibition on Contracting With Inverted Domestic Corporations.
(Deviation 2026-O0038)
2026-02
52.222-3 Convict Labor. (Deviation 2026- O0038)
2026-02
52.223-23 Sustainable Products. (Deviation 2026-O0038)
2026-02
52.240-91 Security Prohibitions and Exclusions. (Deviation 2026- O0038)
2026-02
52.244-6 Subcontracts for Commercial Products and Commercial Services. (Deviation 2026-O0038)
2026-04
DFARS Clauses Incorporated by Reference
Date
Alternate Deviation
Variation Effective Date
252.201-7000 Contracting Officer's Representative.
1991-12
252.225-7002 Qualifying Country Sources as Subcontractors.
2022-03
FAR Clauses Incorporated by Full Text
Date
Alternate Deviation
Variation Effective Date
52.217-9 Option to Extend the Term of the Contract.
2000-03
Option to Extend the Term of the Contract (Mar 2000)
(a) The Government may extend the term of this contract by written notice to the Contractor within 30[insert the period of time within which the Contracting Officer may exercise the option];
provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 30 days[60days unless a different number of days is inserted] before the contract expires. The preliminary notice does not commit the Government to an extension.
(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.
(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 60(months) (years).
(End of clause)
Solicitation Provisions
FAR Provisions Incorporated by Reference
Number Title Effective Date
Alternate Deviation
Variation Effective Date
52.204-7 System for Award Management- Registration. (Deviation 2026- O0038)
2026-02
52.212-1 Instructions to Offerors- Commercial Products and Commercial Services. (Deviation 2026-O0038)
DFARS Provisions Incorporated by Reference
Date
Alternate Deviation
Variation Effective Date
252.203-7005 Representation Relating to Compensation of Former DoD Officials.
2022-09
252.204-7024 Notice on the Use of the Supplier Performance Risk System.
2023-03
252.225-7055 Representation Regarding Business Operations with the Maduro Regime.
2022-05
252.225-7059 Prohibition on Certain Procurements from the Xinjiang Uyghur Autonomous Region- Representation.
2023-06
DFARS Provisions Incorporated by Full Text
Date
Alternate Deviation
Variation Effective Date
252.204-7017 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services-Representation.
2021-05
PROHIBITION ON THE ACQUISITION OF COVERED DEFENSE TELECOMMUNICATIONS
EQUIPMENT OR SERVICES-REPRESENTATION (MAY 2021)
The Offeror is not required to complete the representation in this provision if the Offeror has represented in the provision at 252.204-7016, Covered Defense Telecommunications Equipment or Services-Representation, that it "does not provide covered defense telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument."
(a) Definitions. "Covered defense telecommunications equipment or services," "covered mission," "critical technology," and "substantial or essential component," as used in this provision, have the meanings given in the 252.204-7018 clause, Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services, of this solicitation.
(b) Prohibition. Section 1656 of the National Defense Authorization Act for Fiscal Year 2018 (Pub. L. 115-91) prohibits agencies from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service to carry out covered missions that uses covered defense telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system.
(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) at https://www.sam.gov for entities that are excluded when providing any equipment, system, or service to carry out covered missions that uses covered defense telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system, unless a waiver is granted.
(d) Representation. If in its annual representations and certifications in SAM the Offeror has represented in paragraph (c) of the provision at 252.204-7016, Covered Defense Telecommunications Equipment or Services-Representation, that it "does" provide covered defense telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument, then the Offeror shall complete the following additional representation:
The Offeror represents that it [ ] will [ ] will not provide covered defense telecommunications equipment or services as a part of its offered products or services to DoD in the performance of any award resulting from this solicitation.
(e) Disclosures. If the Offeror has represented in paragraph (d) of this provision that it "will provide covered defense telecommunications equipment or services," the Offeror shall provide the following information as part of the offer:
(1) A description of all covered defense telecommunications equipment and services offered (include brand or manufacturer; product, such as model number, original equipment manufacturer (OEM) number, manufacturer part number, or wholesaler number; and item description, as applicable).
(2) An explanation of the proposed use of covered defense telecommunications equipment and services and any factors relevant to determining if such use would be permissible under the prohibition referenced in paragraph (b) of this provision.
(3) For services, the entity providing the covered defense telecommunications services (include entity name, unique entity identifier, and Commercial and Government Entity (CAGE) code, if known).
(4) For equipment, the entity that produced or provided the covered defense telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known).
(End of provision)
Addendum to 52.212-1, Instructions to Offerors - Commercial Products and Commercial Services
Addendum to 52.212-1, Instructions to Offerors - Commercial Products and
Commercial Services
52.212-1 ADDENDUM
Para (b) Submission of Offers
All offerors must be registered in the System for Award Management (SAM) prior to award, and lack of registration shall make an offer ineligible for award. Offerors may obtain information on registration Internet at https://www.sam.gov. THE PROPOSAL MUST BE PROPOSED ALL OR
NONE.
Basis of Award - Award will be made to the offeror provided its technical proposal conforms to the requirements of the solicitation; its price is determined to be fair and reasonable. To be delivered FOB Destination, Eisenhower Army Medical Center, Fort Gordon, Georgia.
All questions shall be submitted via email to Wayne Shavers, wayne.shavers.civ@health.mil by June 3, 2026, 10:00 AM, Central Daylight Saving Time.
Quotes shall be submitted via email to Wayne Shavers at wayne.shavers.civ@health.mil by June 5, 2026, 2:00 PM Central Daylight Saving Time.
The Government will not be responsible for any failure of transmission or receipt of the offer, or any failure of the offeror to verify receipt of the offer.
(m) The non-FAR Part 12 discretionary FAR and DFARS provisions included herein are incorporated into this solicitation either by reference or in full text. If incorporated by reference, see provision 52.252-1 herein for locations where full text can be found.
Instructions for the Preparation of Quotes:
1. The contractor shall provide the following: CAGE Code, Unique Entity Identification, names (company or individual), and contact information.
W81K0026QA194
mailto:wayne.shavers.civ@health.mil mailto:wayne.shavers.civ@health.mil
2. A completed Request for Quote
3. Description of covered services or statement of work, which outlines compliance with attached
SOW.
4. Proof of FDA Certification to provide the F18 Fludeoxyglucose.
End of Addendum 52.212-1
*** END OF NARRATIVE ***
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Point of Contact: TILLMAN A. WILSON (706) 787-3057
Addendum to Evaluation - Commercial Product and Commercial Services
Addendum to Evaluation - Commercial Product and Commercial Services
52.212-2 ADDENDUM
Paragraph (a) is supplemented with the following:
a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:
FACTOR 1: Technical Capability- Contractor is capable of providing FDA approved F-18 Fludeoxyglucose (FDG) unit dose radiopharmaceuticals, in accordance with Statement of Work (SOW).
FACTOR 2: Price - Quotes will be reviewed to determine them fair and reasonable and if accepted by the Contracting Officer, will be incorporated into the resulting contract. Offeror's pricing must be determined to be fair and reasonable in order to be eligible for an award.
Technical will be evaluated as either Acceptable or Unacceptable. Best value is expected to result from selection of the technically acceptable proposal with the lowest evaluated price. Definitions are as follows:
ACCEPTABLE: The offeror's proposal meets the requirement of the solicitation.
UNACCEPTABLE: The offeror's proposal does not meet the requirement of the solicitation.
End of Addendum 52.212-2
*** END OF NARRATIVE ***
Addendum to Solicitation Provisions
FAR Provisions Incorporated by Reference
Number Title Effective Date
Alternate Deviation
Variation Effective Date
52.203-11 Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions.
2024-09
52.203-18 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements- Representation.
2017-01
52.240-90 Security Prohibitions and Exclusions Representations and Certifications. (Deviation 2026- O0038)
| Solicitation/Contract Form |
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MEDICAL READINESS CONTR OFFICE WEST, 3160 MCINDOE BLDG1103
JBSA FT SAM HOUSTON, TX 78234-4504
UNITED STATES
WAYNE SHAVERS, EMAIL: WAYNE.SHAVERS.CIV@HEALTH.MIL TELEPHONE: 210-221-5306
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